Individual
KAYLIE HACKENMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 NATIONAL DR, WATERLOO, IA 50701-4263
(319) 232-0135
Mailing address
435 PROSPECT BLVD, WATERLOO, IA 50701-3913
(641) 220-1294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158954
IA
363L00000X
Nurse Practitioner
Primary
A188908
IA
Other
Enumeration date
11/03/2025
Last updated
01/30/2026
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